Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged 40 years and above, who meet the American College of Rheumatology criteria for osteoarthritis (knee pain for most of the days of the previous month and osteophyte (s) at the joint line visible on X ray) 29, are willing to consent and have moderate-severe OAK. Clinical Severity: Patients should have a mean score of 1.5 - 3.5 on WOMAC A sub score30, 31. Radiological Severity of Osteoarthritis of the knee is based on the criteria defined by Kellgren and Lawrence, which grades OAK into 0-4 grades32. This study will be including Grade 3 and Grade 4 Osteoarthritis of the knee
Exclusion criteria
Exclusion criteria: Participants unwilling to provide consent Patients with mild OAK Participants with known history of drug allergy to bupivacaine, corticosteroid or lidocaine Patients on anticoagulant or antiplatelet medication Patients who have had a myocardial infraction in the last 6 months Patients with secondary OAK (gout, RA, Psoriasis) or generalized osteoarthritis Patients who have received intra articular steroids into any joint within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from in mean WOMAC A sub score at 24 weeks after third treatment between groupsTimepoint: Change from in mean WOMAC A sub score at 24 weeks after third treatment between groups | — |
Secondary
| Measure | Time frame |
|---|---|
| 30 seconds sit to stand testTimepoint: Baseline and at 3, 6, 12, 24 weeks after the third treatment;WOMAC Total scoreTimepoint: Baseline and at 3, 6, 12, 24 weeks after the third treatment;Patient Satisfaction with managementTimepoint: 24 weeks after the third treatment;Radiological change in knee joint space (DMO arm only) Timepoint: at 24 weeks after third treatment | — |
Countries
India
Contacts
Sri Madhusudan Sai Institute of Medical Sciences and Research,